Patient's question:
At first, the glans was always sticky with no symptoms. One time, a small bump appeared on the foreskin. By the third day, when I went to bed, there were some small red spots on the glans, and it was itchy. By the third day, the entire glans was swollen, and it was very red. What type of balanitis does this have? After treatment, it has been more than half a year, and there have been no symptoms, but sometimes there is a bit of pain or a burning sensation. Should I get a bacterial culture done? Could this lead to specialized medication for treatment to ensure the glans is cured and there is no risk of recurrence?Doctor's answer:
Based on your description, a comprehensive analysis is conducted; it is considered that it may be related to balanoposthitis. Balanoposthitis is primarily caused by bacteria, such as Escherichia coli, Staphylococcus, and Streptococcus, followed by Candida, Trichomonas, Mycoplasma, Chlamydia, and Neisseria gonorrhoeae, which can all lead to balanoposthitis. There are small red bumps on the glans with itching. If there is a history of unsafe sexual contact, the possibility of trichomoniasis cannot be ruled out.Guidance and recommendations: Due to the inability to conduct a face-to-face examination, a comprehensive understanding of the condition is necessary. To further clarify the diagnosis, you should go to a public hospital for examination. The doctor will base the clinical diagnosis on your symptoms and physical signs, supplemented by laboratory tests (such as blood, urine, and stool tests, culture and sensitivity tests, etc.). After identifying the cause, targeted treatment should be administered.